CMS Publishes FY 2013 Hospital OPPS and ASC Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently released the finalized Hospital Outpatient and Prospective Payment System (OPPS) and…
GAO Reports on Recent Increase in Self-Referrals for Advanced Imaging Services
The Government Accountability Office (GAO) recently conducted a study on the growth in referrals and expenditures for magnetic resonance imaging…
Steven Forman Promoted to Senior Vice President
Strategic Management is pleased to that Steven Forman has been promoted to Senior Vice President. “We are extremely pleased to…
Suzanne Dallas Castaldo joins Strategic Management as a Senior Associate
Strategic Management is pleased to announce that Suzanne Dallas Castaldo has joined the firm as a Senior Associate. As a…
Medicare Fraud Strike Force Charges 91 Individuals for Criminal Activities for Falsely Billing Medicare for $430 Million
Attorney General Eric Holder recently commended the Medicare Fraud Strike Force for their action against 91 individuals in seven states…
CMS Starts New Initiative to Reduce Avoidable Hospitalizations for Nursing Home Residents
The Centers for Medicare & Medicaid Services (CMS) recently launched the “Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents.”…
RHQDAPU: Reporting Hospital Quality Data for Acute Payment Update
Even those in the health care arena used to a host of new acronyms, will find RQHDAPU a tongue twister.…
Lessons Learned From EMTALA Violations Enforcement
Background on EMTLA The Emergency Medical Treatment and Active Labor Act (EMTALA) has its origin in the Hill-Burton Free Care Program established…
New York Downtown Hospital Settles Allegations of Medicaid Fraud for $13.4 Million
The New York Attorney General’s Office recently settled with New York Downtown Hospital (NY Downtown Hospital) for $13.4 million following…
CMS Releases IPPS 2013 Final Rule
The Centers for Medicare & Medicaid Services (CMS) released the final rule on the hospital Inpatient Prospective Patient System (IPPS)…
What Are Compliance Best Practice Standards?
Today the focus on compliance is on program enhancement and increased effectiveness. There is various compliance guidance offered by the Federal…
Accountable Care Organizations Requirements: ACO Final Rule Summary
The Centers for Medicare & Medicaid Services (CMS) released the final rule for Accountable Care Organizations (ACOs) and the Medicare…